A client gave birth 2 days ago and is preparing for discharge. The nurse assesses respirations to be 26 breaths/min and labored, and the client complains of chest pain & short of breath ambulating from the bathroom this morning. Lung sounds are clear. The nurse alerts the primary care provider and the nurse- midwife to her concern that the client may be experiencing:

pulmonary embolism.

mitral valve collapse.

upper respiratory infection.

thrombophlebitis.

Answer and Explanation

The Correct Answer is A

A. Pulmonary embolism (PE): PE is a life-threatening condition that occurs when a blood clot travels to the lungs, often originating from a deep vein thrombosis (DVT). Postpartum clients are at increased risk due to hypercoagulability. Symptoms include sudden-onset dyspnea, chest pain, tachypnea, tachycardia, and hypoxia despite clear lung sounds. This warrants immediate intervention.

B. Mitral valve collapse: This is not a common postpartum complication and does not explain the client’s acute symptoms.

C. Upper respiratory infection: URIs present with cough, congestion, fever, and abnormal lung sounds, which this client does not have.

D. Thrombophlebitis: This refers to localized inflammation of a superficial vein, which may cause leg pain and swelling but does not typically result in respiratory distress.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. "Supporting the uterus decreases the amount of pain." Incorrect. While proper support may reduce discomfort, the primary reason is structural support.

B. "This is necessary because the ligaments that hold the uterus are stretched." Correct. The uterus is enlarged postpartum, and the ligaments are weakened, making support necessary.

C. "This will decrease the severity of uterine bleeding." Not the primary reason, though proper fundal massage can aid in hemorrhage prevention.

D. "This will help with uterine involution." Incorrect. Uterine involution is driven by hormonal changes and contractions, not just support.

A. Signs and symptoms of postpartum blues include: lack of appetite, feeling let down, tearfulness, and insomnia. B. Medications are available to relieve the symptoms. C. Postpartum blues last about a week or two. D. The father may become sad and weepy. E. Very few women experience postpartum blues.

Correct Answer is ["A","C"]

Explanation

A. Correct. Common symptoms of postpartum blues include emotional sensitivity, mood swings, crying spells, and difficulty sleeping.

B. Incorrect. Medications are not typically needed for postpartum blues, as the condition resolves on its own.

C. Correct. Postpartum blues usually last for about 10–14 days and resolve without intervention.

D. Incorrect. While fathers can experience mood changes postpartum, postpartum blues specifically refer to hormonal changes in the mother.

E. Incorrect. Postpartum blues are common, affecting up to 50-80% of postpartum women.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When discussing the need to support the lower uterine segment, which statement by the new nurse indicates understanding.

Correct Answer is B

Explanation

A nurse is counseling a woman about postpartum blues. Which of the following should be included in the discussion? Select two that Apply.)

Correct Answer is ["A","C"]

Explanation

The nurse is preparing a care plan for her 12-hour postpartum patient which include prevention of thrombosis. During implementation, the nurse is expected to

A client who is breastfeeding tells her nurse that she is concerned that her baby is not getting enough food since her milk has not come in. The best response from the nurse is which statement.

A 25 year-old woman gave birth to her second child 6 hours ago. She informs the nurse that she is bleeding more than with her previous birth experience. The initial nursing action is to:

You are assessing a patient who delivered vaginally 48 hours ago. At this time, where would you expect to feel her fundus?

Exhibits The nursing priority is to dropdown

A nurse is assessing a client who is four hours postpartum. Her temperature is 39 C (102.2F), pulse 96 beats per minute, and respirations 18 breaths per minute. Based on this information, which of these orders is most appropriate for treating the client at this time?

A breastfeeding mother expresses concern about whether her one-week-old newborn is getting enough milk. Which finding is a concrete indicator that the baby is getting enough milk?